Job Description
Responsibilities:
- Analyze reimbursement performance by comparing expected vs. actual payments and identifying trends, variances, and financial risks.
- Develop payer benchmarking, revenue trend analysis, and financial forecasting to support leadership decision-making.
- Build and enhance contract and reimbursement models, including value-based payment components and scenario analyses.
- Partner with Managed Care and Finance teams to support payer negotiations through financial impact and risk assessments.
- Present clear, executive-level insights and recommendations based on complex financial and claims data.
Qualifications:
- Bachelor’s degree in Finance, Accounting, Economics, Health Administration, or related field.
- 3+ years of experience in healthcare financial analysis, payer analytics, or managed care.
- Experience with reimbursement models (e.g., DRG, fee schedules, ...